any support for us Military wives in Germany?

I joined weigh****chers and did a workout program from Beachbody.com which I was able to use for documentation.

It only took me two weeks. It took my other girlfriend one visit to the doctor with follow-ups to a few other people. She was approved for the surgery within a month.

I had the roux en y.  (Gastric Bypass) I had a great doc at LRMC (not my doctor who I usually see!)  who looked at my records and talked to me. He gave me a referral which I took to Tricare. They gave me approval to have an initial appt with the doctor.  He asked all about my physical fitness, eating habits, diets I've been on and psychological interviews.  He said I was the perfect candidate for the RNY, but was not one for the gastric band. Your problem is not so much with Tricare as with your primary care manager (PCM) or "doctor."  They can easily give you a referral.  I don't know why they have to have all the supporting docs sent to them when they can easily look at your records and YOU... talk to YOU and let a bariatric surgeon decide if you are or are not a candidate for surgery.  They are the professionals!  Then, at that point, the bariatric surgeon submits a report to Tricare and then you are approved or not.  It might just be easier for you to fork out the money for an initial appt, then have the surgeon submit a report telling them if you are a good prospect.  Time really is of the essence.  The initial appointment was about 150 euros.  Let me know how it goes for you... it is SO WORTH IT.   Good Luck to you!!!